Individual provider Active NPI

Charles R Taylor, MD

  • Interventional Cardiology Physician
  • Greenfield, IN
National Provider Identifier
1174589444
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
01030677A Issued in IN
Practice address
300 E Boyd Ave Ste 201
Greenfield, IN 46140-2818
Phone
(317) 462-5112
Fax
(317) 462-5122
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01030677A IN
Cardiovascular Disease Physician 207RC0000X 01030677A IN
Interventional Cardiology Physician 207RI0011X 01030677A IN Primary

Addresses

Primary practice location

300 E Boyd Ave Ste 201
Greenfield, IN 46140-2818

Mailing address

300 E Boyd Ave Ste 201
Greenfield, IN 46140-2818

Other identifiers 1

IdentifierTypeStateIssuer
100127700MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504000932 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608864061 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New Castle Clinic Inc CurrentSince May 1, 2013 Accepting new patients
New Castle Clinic Inc Cardiovascular Disease CurrentSince May 1, 2013 Accepting new patients
The Care Labs, LLC Past Accepting new patients
Major Hospital Past Accepting new patients
Care Group LLC Internal Medicine Past Accepting new patients

Locations

1000 N 16th St
Ste 240
New Castle, IN 47362
Phone (765) 521-1461

Interoperability endpoints

  • Direct secure messaging: taylorc@hcmh.cernerdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1174589444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE STE 201",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BOYD AVE STE 201",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461402818",
            "telephone_number": "317-462-5112",
            "fax_number": "317-462-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "CHARLES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01030677A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01030677A",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IN",
            "license": "01030677A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100127700",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.